August 28, 2013 Dear Parent(s)/Guardian, My name is Lisa Papez and I am a senior at Davis & Elkins College, majoring

in elementary education. This semester Mrs. Akers has been kind enough to allow me into her classroom to complete my student teaching. For the next eight weeks I will be working with your child in Mrs. Akers classroom. It is an honor to be in your childs classroom and I look forward to getting to know him/her. I love to work with children and I see this as a great opportunity to grow as a person and also a teacher. During my eight weeks in Mrs. Akers classroom I will also be putting together a portfolio. For this portfolio I will be taking pictures, videos, and also using the students work. Attached below is a consent form. As a parent/guardian your consent is required in order for me to include your child in my work. If you agree to letting your child be a part of my portfolio please sign the attached consent form and return. If you have any questions feel free to contact me at papezl@mail.dewv.edu. Sincerely,

Mrs. Lisa Papez ------------------------------------------------------------------------------------------------------------------------------I, __________________________ the parent/guardian of ________________________(childs name), do hereby give Lisa Papez permission to use my childs work in her portfolio for student teaching, along with allowing my child to be in pictures and/or videos. Parent/Guardian Signature ____________________________________ Date ______________ Yes, I give permission for my childs work to be used in Lisa Papezs Portfolio. Yes, I give permission for my child to be included in pictures and videos for Lisa Papezs Portfolio. No, I do NOT give permission for my child to be in pictures/videos and their work to be included in Lisa Papezs portfolio.

Parent/Guardian Print: ______________________________________ Parent/ Guardian Signature: __________________________________ Email Address:____________________________________________________ Student Name: ________________________ Date: _________________